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目的:对康复运动疗法在慢性心力衰竭临床治疗中的应用效果进行探讨。方法:选取2015年7月至2016年7月于重庆市渝北区人民医院心内科收治的66例慢性心力衰竭患者,遵循双盲原则随机将其分为对照组与观察组各33例。对照组给予常规护理与治疗,观察组在其基础上重点给予康复运动疗法,比较两组临床疗效(心功能级别、左心室射血分数(LVEF)及生活质量评价等)。结果:观察组患者治疗8周后心功能分级(1.41±0.46)级、LVEF(45.49±4.45)、脑钠钛(BNP)(401.4±112.8)ng·L~(-1)、6 min步行距离(491.73±41.29)m相较于对照组的(2.09±0.55)级、(37.18±5.13)、(477.3±115.1)ng·L~(-1)、(387.28±40.36)m,差异具有统计学意义(P<0.05);观察组治疗8周后生活质量评分(10.22±1.82)分相较于对照组(20.38±1.83)分,差异具有统计学意义(P<0.05)。结论:康复运动疗法有助于提高慢性心力衰竭患者生活质量,改善其心功能,具有较高的安全性。
Objective: To discuss the effect of rehabilitation exercise therapy in the clinical treatment of chronic heart failure. Methods: From July 2015 to July 2016, 66 patients with chronic heart failure who were treated in Department of Cardiology, Yubei District People’s Hospital of Chongqing were randomly divided into control group and observation group (33 cases) according to double-blind principle. The control group was given routine care and treatment. The observation group focused on rehabilitation exercise therapy on the basis of the two groups, and compared the clinical efficacy (cardiac function level, left ventricular ejection fraction (LVEF) and quality of life). Results: After 8 weeks of treatment, the patients in the observation group had a heart function grading (1.41 ± 0.46), LVEF (45.49 ± 4.45), BNP (401.4 ± 112.8) ng · L -1, walking distance 6 min ± 41.29) m, compared with the control group (2.09 ± 0.55), (37.18 ± 5.13), (477.3 ± 115.1) ng · L -1, (387.28 ± 40.36) m, the difference was statistically significant ( P <0.05). The quality of life score (10.22 ± 1.82) in the observation group after 8 weeks treatment was significantly higher than that in the control group (20.38 ± 1.83), the difference was statistically significant (P <0.05). Conclusion: Rehabilitation exercise therapy can improve the quality of life of patients with chronic heart failure, improve their cardiac function, and have higher safety.